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Correspondence ffi IdA AN I Y ERvs, INVOICE NO. 8600 SW Hillsboro Hwy., Hillsboro, OR 97123 503-644-2797 k 503-648-6254 DEQ Lic. #37631 www.alohasanitary.com * Email: info@alohasanitary.com PLm2o1�.- ci8$ NAME: - °'.`. C'.- '?"Vg 7'/7 `y ADDRESS: Y 'a,✓ j <i A}%r'i'ri' j w'!' CITY: 1,r.9Y' ?T' l ZIP:. - i ,� HOME: WORK: CELL: JOB SITE: 4. r ;" .,' °. ' 5 f;, , r:+ •k'rl PAID BY CHARGE ❑' CHECK ❑ CASH ❑ CREDIT CARD ❑ DATE DRIVER AMOUNT U PUMP SEPTIC TANK/HOLDING Tank ❑ INSPECTION FEE ❑ SERVICE CALL ❑ LABOR, LOCATING, DIGGING, BACKFILL THIS IS NoTA SEPTIC SYSTEM INSPECTION REPORT- d TOTAL $ TANK TYPE: STEEL ❑ CONCRETE ❑ PLASTIC ❑ MFR TANK SIZE: 350 ❑ 500 ❑ 750 kl_- • 1000 ❑ 1250 ❑ 1500 ❑ 2000 ❑ 3000 ❑ CONDITION: GOOD ❑ FAIR ❑ POOR U FITTINGS: BAFFLES ❑ CONCRETE ❑ CAST IRON U PLASTIC U LID: INLET ❑ OUTLET ❑ MID ❑ TOP ❑ GROUND COVER SMALL TRUCK: ❑ EXTRA HOSE COMMENTS Customer Signature DATE